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148258 pmol/L may warrant further investigation with methylmalonic acid or homocysteine testing)

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Common symptoms associated with low vitamin B12 levels may include: Muscle weakness Fatigue Irritability or mood changes Numbness or tingling in the hands and feet Smooth or swollen tongue Nausea Diarrhea Changes in heart rate Unexplained weight loss Balance or mobility concerns If you are experiencing symptoms associated with low vitamin B12 levels, it is important to speak with your healthcare provider and request appropriate testing

Low omega-3 levels have been linked to poor cognitive outcomes and increased behavioral issues

And consider whether your concentration is matched to a draw volume that your syringe can measure accurately